Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

: PAS Temporary Codes - JSON Representation

Page standards status: Trial-use Maturity Level: 3

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{
  "resourceType" : "CodeSystem",
  "id" : "PASTempCodes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">provider-src<a name=\"PASTempCodes-provider-src\"> </a></td><td>Provider-sourced</td><td>The metric information was captured from the provider system's perspective</td></tr><tr><td style=\"white-space:nowrap\">payer-src<a name=\"PASTempCodes-payer-src\"> </a></td><td>Payer-sourced</td><td>The metric information was captured from the payer system's perspective</td></tr><tr><td style=\"white-space:nowrap\">intermediary-src<a name=\"PASTempCodes-intermediary-src\"> </a></td><td>Intermediary-sourced</td><td>The metric information was captured from the intermediary system's perspective</td></tr><tr><td style=\"white-space:nowrap\">changed<a name=\"PASTempCodes-changed\"> </a></td><td>Changed</td><td>Previously sent information has been changed.</td></tr><tr><td style=\"white-space:nowrap\">added<a name=\"PASTempCodes-added\"> </a></td><td>Added</td><td>New information that was not sent previously.</td></tr><tr><td style=\"white-space:nowrap\">patientEvent<a name=\"PASTempCodes-patientEvent\"> </a></td><td>Patient Event</td><td>Information about the dates of the event that are being requested.</td></tr><tr><td style=\"white-space:nowrap\">admissionDates<a name=\"PASTempCodes-admissionDates\"> </a></td><td>Admission Dates</td><td>Information about the admission dates of a hospital admission being requested.</td></tr><tr><td style=\"white-space:nowrap\">dischargeDates<a name=\"PASTempCodes-dischargeDates\"> </a></td><td>Discharge Dates</td><td>Information about discharge dates of a hospital admission being requested.</td></tr><tr><td style=\"white-space:nowrap\">additionalInformation<a name=\"PASTempCodes-additionalInformation\"> </a></td><td>Additional Information</td><td>Send additional paperwork or supporting information for the request.</td></tr><tr><td style=\"white-space:nowrap\">freeFormMessage<a name=\"PASTempCodes-freeFormMessage\"> </a></td><td>Free Form Message</td><td>Send text messages to the UMO.</td></tr><tr><td style=\"white-space:nowrap\">institutionalEncounter<a name=\"PASTempCodes-institutionalEncounter\"> </a></td><td>Institutional Encounter</td><td>Information about a hospital claim being requested.</td></tr><tr><td style=\"white-space:nowrap\">result-available<a name=\"PASTempCodes-result-available\"> </a></td><td>Result Available</td><td>A new result for a PAS submission is now available.</td></tr><tr><td style=\"white-space:nowrap\">admitting<a name=\"PASTempCodes-admitting\"> </a></td><td>Admitting</td><td>The diagnosis given as the reason why the patient was admitted to the hospital.</td></tr><tr><td style=\"white-space:nowrap\">principal<a name=\"PASTempCodes-principal\"> </a></td><td>Principal</td><td>The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment.</td></tr><tr><td style=\"white-space:nowrap\">patientreasonforvisit<a name=\"PASTempCodes-patientreasonforvisit\"> </a></td><td>Patient Reason For Visit</td><td>The diagnosis given as why the patient came to the hospital.</td></tr><tr><td style=\"white-space:nowrap\">CDEX<a name=\"PASTempCodes-CDEX\"> </a></td><td>CDex Submit-Attachment</td><td>Via a CDex Submitt-Attachment operation</td></tr><tr><td style=\"white-space:nowrap\">attachment-request-code<a name=\"PASTempCodes-attachment-request-code\"> </a></td><td>Attach Request Code</td><td>Attachments are identified by LOINC or PWK01 codes</td></tr><tr><td style=\"white-space:nowrap\">attachment-request-questionnaire<a name=\"PASTempCodes-attachment-request-questionnaire\"> </a></td><td>Attachment Request Questionnaire</td><td>Attachments are identified by a questionnaire using the TRN input parameter</td></tr><tr><td style=\"white-space:nowrap\">priorAuthorization<a name=\"PASTempCodes-priorAuthorization\"> </a></td><td>Prior Authorization Information Request</td><td>Additional information is needed to determine response for a prior authorization</td></tr><tr><td style=\"white-space:nowrap\">payer-url<a name=\"PASTempCodes-payer-url\"> </a></td><td>Payer URL</td><td>The Payer Endpoint URL needed to submit attachments</td></tr><tr><td style=\"white-space:nowrap\">attachments-needed<a name=\"PASTempCodes-attachments-needed\"> </a></td><td>Attachments Needed</td><td>Communicates what attachments are needed</td></tr><tr><td style=\"white-space:nowrap\">questionnaires-needed<a name=\"PASTempCodes-questionnaires-needed\"> </a></td><td>Questionnaires Needed</td><td>Communicates what questionnaires are needed</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
  "version" : "2.0.1",
  "name" : "PASTempCodes",
  "title" : "PAS Temporary Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-05-28T15:04:42+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Codes temporarily defined as part of the PAS implementation guide.  These will eventually migrate into an officially maintained terminology (likely either SNOMED CT or HL7's UTG code systems).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "count" : 22,
  "concept" : [
    {
      "code" : "provider-src",
      "display" : "Provider-sourced",
      "definition" : "The metric information was captured from the provider system's perspective"
    },
    {
      "code" : "payer-src",
      "display" : "Payer-sourced",
      "definition" : "The metric information was captured from the payer system's perspective"
    },
    {
      "code" : "intermediary-src",
      "display" : "Intermediary-sourced",
      "definition" : "The metric information was captured from the intermediary system's perspective"
    },
    {
      "code" : "changed",
      "display" : "Changed",
      "definition" : "Previously sent information has been changed."
    },
    {
      "code" : "added",
      "display" : "Added",
      "definition" : "New information that was not sent previously."
    },
    {
      "code" : "patientEvent",
      "display" : "Patient Event",
      "definition" : "Information about the dates of the event that are being requested."
    },
    {
      "code" : "admissionDates",
      "display" : "Admission Dates",
      "definition" : "Information about the admission dates of a hospital admission being requested."
    },
    {
      "code" : "dischargeDates",
      "display" : "Discharge Dates",
      "definition" : "Information about discharge dates of a hospital admission being requested."
    },
    {
      "code" : "additionalInformation",
      "display" : "Additional Information",
      "definition" : "Send additional paperwork or supporting information for the request."
    },
    {
      "code" : "freeFormMessage",
      "display" : "Free Form Message",
      "definition" : "Send text messages to the UMO."
    },
    {
      "code" : "institutionalEncounter",
      "display" : "Institutional Encounter",
      "definition" : "Information about a hospital claim being requested."
    },
    {
      "code" : "result-available",
      "display" : "Result Available",
      "definition" : "A new result for a PAS submission is now available."
    },
    {
      "code" : "admitting",
      "display" : "Admitting",
      "definition" : "The diagnosis given as the reason why the patient was admitted to the hospital."
    },
    {
      "code" : "principal",
      "display" : "Principal",
      "definition" : "The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."
    },
    {
      "code" : "patientreasonforvisit",
      "display" : "Patient Reason For Visit",
      "definition" : "The diagnosis given as why the patient came to the hospital."
    },
    {
      "code" : "CDEX",
      "display" : "CDex Submit-Attachment",
      "definition" : "Via a CDex Submitt-Attachment operation"
    },
    {
      "code" : "attachment-request-code",
      "display" : "Attach Request Code",
      "definition" : "Attachments are identified by LOINC or PWK01 codes"
    },
    {
      "code" : "attachment-request-questionnaire",
      "display" : "Attachment Request Questionnaire",
      "definition" : "Attachments are identified by a questionnaire using the TRN input parameter"
    },
    {
      "code" : "priorAuthorization",
      "display" : "Prior Authorization Information Request",
      "definition" : "Additional information is needed to determine response for a prior authorization"
    },
    {
      "code" : "payer-url",
      "display" : "Payer URL",
      "definition" : "The Payer Endpoint URL needed to submit attachments"
    },
    {
      "code" : "attachments-needed",
      "display" : "Attachments Needed",
      "definition" : "Communicates what attachments are needed"
    },
    {
      "code" : "questionnaires-needed",
      "display" : "Questionnaires Needed",
      "definition" : "Communicates what questionnaires are needed"
    }
  ]
}